{"id":"https://openalex.org/W7208730382","doi":"https://doi.org/10.1510/mmcts.2026.039","title":"Limited transseptal approach to the mitral valve: a practical step-by-step surgical tutorial","display_name":"Limited transseptal approach to the mitral valve: a practical step-by-step surgical tutorial","publication_year":2026,"publication_date":"2026-09-04","ids":{"openalex":"https://openalex.org/W7208730382","doi":"https://doi.org/10.1510/mmcts.2026.039","pmid":"https://pubmed.ncbi.nlm.nih.gov/42695592"},"language":"en","primary_location":{"id":"doi:10.1510/mmcts.2026.039","doi":"https://doi.org/10.1510/mmcts.2026.039","is_oa":false,"landing_page_url":"https://doi.org/10.1510/mmcts.2026.039","pdf_url":null,"source":{"id":"https://openalex.org/S135877851","display_name":"Multimedia Manual of Cardio-Thoracic Surgery","issn_l":"1813-9175","issn":["1813-9175"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","medline","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multimedia Manual of Cardio-Thoracic Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008367373","display_name":"Z Jonjev","orcid":"https://orcid.org/0000-0001-7932-0733","observed_orcids":["https://orcid.org/0000-0001-7932-0733"]},"institutions":[{"id":"https://openalex.org/I173887773","display_name":"University of Banja Luka","ror":"https://ror.org/0282m7c06","country_code":"BA","type":"education","lineage":["https://openalex.org/I173887773"]},{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["BA","RS"],"is_corresponding":false,"raw_author_name":"\u017divojin Jonjev","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]},{"raw_affiliation_string":"University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina","institution_ids":["https://openalex.org/I173887773"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112451621","display_name":"Alja\u017e Bo\u017ei\u010d","orcid":"https://orcid.org/0009-0006-1294-4481","observed_orcids":["https://orcid.org/0009-0006-1294-4481"]},"institutions":[{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Andjela Bo\u017ei\u0107","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091440470","display_name":"Ilija Bjeljac","orcid":"https://orcid.org/0009-0005-7821-0715","observed_orcids":["https://orcid.org/0009-0005-7821-0715"]},"institutions":[{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Ilija Bjeljac","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076467294","display_name":"Mirko Todi\u0107","orcid":"https://orcid.org/0000-0002-2537-2172","observed_orcids":["https://orcid.org/0000-0002-2537-2172"]},"institutions":[{"id":"https://openalex.org/I170726198","display_name":"University of Novi Sad","ror":"https://ror.org/00xa57a59","country_code":"RS","type":"education","lineage":["https://openalex.org/I170726198"]},{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Mirko Todi\u0107","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]},{"raw_affiliation_string":"University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia","institution_ids":["https://openalex.org/I170726198"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103190445","display_name":"Aleksandar M. Milosavljevi\u0107","orcid":"https://orcid.org/0000-0001-9449-9073","observed_orcids":["https://orcid.org/0000-0001-9449-9073","https://orcid.org/0000-0003-3064-7297"]},"institutions":[{"id":"https://openalex.org/I170726198","display_name":"University of Novi Sad","ror":"https://ror.org/00xa57a59","country_code":"RS","type":"education","lineage":["https://openalex.org/I170726198"]},{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Aleksandar M Milosavljevic","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]},{"raw_affiliation_string":"University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia","institution_ids":["https://openalex.org/I170726198"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001130216","display_name":"Strahinja Mrvi\u0107","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210117118","display_name":"Institute for Cardiovascular Diseases of Vojvodina","ror":"https://ror.org/025y6ny17","country_code":"RS","type":"healthcare","lineage":["https://openalex.org/I4210117118"]}],"countries":["RS"],"is_corresponding":false,"raw_author_name":"Strahinja Mrvi\u0107","raw_affiliation_strings":["Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia","institution_ids":["https://openalex.org/I4210117118"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mitral-valve-surgery","display_name":"mitral valve surgery","score":0.9750000238418579},{"id":"https://openalex.org/keywords/tricuspid-valve-surgery","display_name":"tricuspid valve surgery","score":0.7789999842643738},{"id":"https://openalex.org/keywords/minimally-invasive-cardiac-surgery","display_name":"minimally invasive cardiac surgery","score":0.8399999737739563},{"id":"https://openalex.org/keywords/left-atrium","display_name":"left atrium","score":0.6700000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8428000211715698},{"id":"https://openalex.org/C2776804676","wikidata":"https://www.wikidata.org/wiki/Q2912094","display_name":"Fossa ovalis","level":4,"score":0.6536999940872192},{"id":"https://openalex.org/C2777543888","wikidata":"https://www.wikidata.org/wiki/Q369939","display_name":"Mitral valve","level":2,"score":0.602400004863739},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5516999959945679},{"id":"https://openalex.org/C2909322044","wikidata":"https://www.wikidata.org/wiki/Q2529769","display_name":"Atrial septum","level":2,"score":0.5105000138282776},{"id":"https://openalex.org/C2780607668","wikidata":"https://www.wikidata.org/wiki/Q2529769","display_name":"Interatrial septum","level":4,"score":0.5038999915122986},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46299999952316284},{"id":"https://openalex.org/C2779946567","wikidata":"https://www.wikidata.org/wiki/Q1344255","display_name":"Tricuspid valve","level":2,"score":0.46000000834465027},{"id":"https://openalex.org/C2909456097","wikidata":"https://www.wikidata.org/wiki/Q189331","display_name":"Conduction abnormalities","level":2,"score":0.40959998965263367},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.4059999883174896},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3621000051498413},{"id":"https://openalex.org/C2775854548","wikidata":"https://www.wikidata.org/wiki/Q6882369","display_name":"Mitral valve replacement","level":3,"score":0.3359000086784363},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.29350000619888306},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.28630000352859497},{"id":"https://openalex.org/C2776024998","wikidata":"https://www.wikidata.org/wiki/Q509053","display_name":"Atrioventricular node","level":3,"score":0.28600001335144043},{"id":"https://openalex.org/C2775914520","wikidata":"https://www.wikidata.org/wiki/Q12335414","display_name":"Sinus rhythm","level":3,"score":0.2806999981403351},{"id":"https://openalex.org/C3019611579","wikidata":"https://www.wikidata.org/wiki/Q6641956","display_name":"Surgical procedures","level":2,"score":0.2702000141143799},{"id":"https://openalex.org/C2777720157","wikidata":"https://www.wikidata.org/wiki/Q7306947","display_name":"Reentry","level":2,"score":0.2623000144958496}],"mesh":[{"descriptor_ui":"D006346","descriptor_name":"Heart Septum","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006348","descriptor_name":"Cardiac Surgical Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008943","descriptor_name":"Mitral Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D019060","descriptor_name":"Minimally Invasive Surgical Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D019918","descriptor_name":"Heart Valve Prosthesis Implantation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1510/mmcts.2026.039","doi":"https://doi.org/10.1510/mmcts.2026.039","is_oa":false,"landing_page_url":"https://doi.org/10.1510/mmcts.2026.039","pdf_url":null,"source":{"id":"https://openalex.org/S135877851","display_name":"Multimedia Manual of Cardio-Thoracic Surgery","issn_l":"1813-9175","issn":["1813-9175"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","medline","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multimedia Manual of Cardio-Thoracic Surgery","raw_type":"journal-article"},{"id":"pmid:42695592","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42695592","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multimedia manual of cardiothoracic surgery : MMCTS","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1539364713","https://openalex.org/W43304264","https://openalex.org/W2028565829","https://openalex.org/W2091605963","https://openalex.org/W1576996579","https://openalex.org/W2971052687","https://openalex.org/W2042816878","https://openalex.org/W2001966875","https://openalex.org/W2074669810","https://openalex.org/W2751231320"],"abstract_inverted_index":{"The":[0,56],"mitral":[1,48,98,195],"valve":[2,54,99,196],"is":[3],"conventionally":[4],"accessed":[5],"through":[6],"a":[7,29,38,62,133],"left":[8,33],"atriotomy;":[9],"however,":[10],"adequate":[11],"visualization":[12],"may":[13],"be":[14],"challenging":[15],"in":[16,193],"selected":[17],"patients,":[18],"particularly":[19],"those":[20],"undergoing":[21],"redo":[22],"surgery,":[23],"minimally":[24],"invasive":[25],"procedures,":[26],"or":[27,31],"with":[28,132],"small":[30],"non-compliant":[32],"atrium.":[34],"In":[35,144],"such":[36],"cases,":[37],"transseptal":[39,58,121,127],"interatrial":[40],"approach":[41,60,122,148],"can":[42],"provide":[43],"improved":[44],"exposure":[45,100],"of":[46,66,82,105,136,176],"the":[47,67,76,80,83,91,103,108,119,124,146,168,177],"apparatus":[49],"while":[50,101,156],"facilitating":[51],"concomitant":[52],"tricuspid":[53],"procedures.":[55],"limited":[57],"(LTS)":[59],"represents":[61],"partial,":[63],"anatomy-preserving":[64],"modification":[65],"classic":[68],"extended":[69,125],"vertical":[70,126],"transatrial":[71],"septal":[72,77],"incision.":[73],"By":[74],"confining":[75],"incision":[78,128],"to":[79,107,160,186],"region":[81],"fossa":[84],"ovalis,":[85],"and":[86,112,123,140,152,172,183,190],"avoiding":[87],"superior":[88,120],"extension":[89],"toward":[90],"atrial":[92,113,137,150],"roof,":[93],"this":[94],"technique":[95,175],"provides":[96],"sufficient":[97],"minimizing":[102],"risk":[104],"injury":[106],"sinus":[109],"node":[110],"artery":[111],"conduction":[114,138],"tissue.":[115],"Alternative":[116],"strategies,":[117],"including":[118],"have":[129],"been":[130],"associated":[131],"higher":[134],"incidence":[135],"disturbances":[139],"postoperative":[141],"pacing":[142],"requirements.":[143],"contrast,":[145],"LTS":[147,178],"preserves":[149],"anatomy":[151],"reduces":[153],"surgical":[154,174],"trauma":[155],"maintaining":[157],"excellent":[158],"access":[159],"both":[161],"atrioventricular":[162],"valves.":[163],"This":[164],"video":[165],"tutorial":[166],"outlines":[167],"anatomical":[169],"principles,":[170],"indications":[171],"step-by-step":[173],"approach,":[179],"highlighting":[180],"technical":[181],"pearls":[182],"potential":[184],"pitfalls":[185],"facilitate":[187],"its":[188],"safe":[189],"reproducible":[191],"application":[192],"contemporary":[194],"surgery.":[197]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-09-05T00:00:00"}
